National Provider Identifier Database

KELLY L BRUCH, OD – NPI #1164426078
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

KELLY L BRUCH, OD
150 MCMAHAN BLVD
BUCKEYE OPTICAL
MARION, OH43302-5654
Phone: 740-389-1300
Fax: 740-389-1335
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for KELLY L BRUCH

NPI Number 1164426078
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/08/2005
Last updated 07/16/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 5096
  • OH Medicaid: 2615781
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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